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General NPI Number Information
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NPI Number | 1841272119
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Entity Type | Individual
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Provider Name | MARY ANITA ARNOLD ARNP
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Gender | Female
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Dates
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Enumeration Date | 11/14/2005
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Last Update Date | 02/22/2013
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Provider Practice Location Address
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Address Line | 1025 GRAND AVE
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City | BEATTYVILLE
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State | KY
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Zip | 41311-0204
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Country | US
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Telephone | 606-464-8806
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Fax | 606-464-9453
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Provider Business Mailing Address
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Address Line | PO BOX 636493
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City | CINCINNATI
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State | OH
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Zip | 45263-6493
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Country | US
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Telephone | 513-981-5098
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Fax | 513-981-5015
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC1500X
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Taxonomy Name | Community Health Registered Nurse
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License Number | 1018525
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3000187
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License Number State | KY
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